I-864 Affidavit of Support Worksheet

Part 0 — EZ Eligibility Check

You may only use the I-864EZ if ALL three apply. Recommendation: use standard I-864 regardless.

I am the petitioner who filed the I-130

The sponsored immigrant is the only person on the petition

My income comes entirely from salary/pension on W-2s (not self-employed)

Part 1 — About the Sponsor

Full legal name *

Mailing address *

Is physical address the same?

Yes

Date of birth MM/DD/YYYY *

Place of birth (country) *

Country of domicile *Usually United States

US status *

US Citizen US National Lawful Permanent Resident

Social Security Number *

A-Number (if any)

USCIS Online Account Number (if any)

Active duty in US Armed Forces?

Yes No

Part 2 — About the Immigrant Being Sponsored

Full legal name *

Date of birth MM/DD/YYYY *

Country of birth *

Mailing address *

A-Number (if any)

Relationship to sponsor *

Part 3 — Household Size

You (the sponsor) — always included

The sponsored immigrant — always included

Your spouse (if applicable)

Number of dependent children

Number of other dependents

People previously sponsored on I-864 still obligated

CALCULATED HOUSEHOLD SIZE: 2

Part 4 — Annual Income

Current individual annual income *

Household income (if using)

Must be at least 125% of Federal Poverty Guidelines. If uncertain or borderline, a joint sponsor is strongly recommended.

Household Size	2025 Poverty Line	125% Threshold
1	$15,650	$19,563
2	$21,150	$26,438
3	$26,650	$33,313
4	$32,150	$40,188
5	$37,650	$47,063
6	$43,150	$53,938
7	$48,650	$60,813
8+	$54,150	$67,688

Add $5,500 per additional person beyond 8.

125% Threshold for Your Size: $26,438

Do you meet requirement? —

Part 5 — Joint Sponsor (if required)

Joint sponsor full legal name

Joint sponsor SSN

Joint sponsor's household size

Joint sponsor's annual income

Joint sponsor's 125% threshold: —

Does joint sponsor meet requirement? —

All joint sponsors need: separate I-864 (copy of wet signed ok) · IRS Tax Transcript (treat as required for London, not just recommended) · proof of US citizenship or LPR status · proof of US domicile.

Plus income evidence by scenario: W-2 employed — W-2s (3 years recommended), employment letter on letterhead, recent pay stubs (minimum 3, ideally 6 months). Self-employed — full return with all schedules (C/E/F/SE), 12 months business bank statements, business registration/EIN, signed business description. Retired — SSA-1099 or pension statement, proof of ongoing benefit, retirement account distribution statements if applicable. Military — LES showing base pay, BAH, BAS, plus most recent W-2. Household member's income — I-864A, their income proof, proof of shared residence and relationship. Assets — strongly recommend a joint sponsor instead; London has refused assets alone even when the multiplier threshold is met. Not required to file taxes — signed statement citing the IRS filing threshold plus alternative income evidence. Married filing jointly with a non-sponsoring spouse — also include W-2s/1099s isolating the sponsor's individual income, since only their own income counts unless the spouse signs an I-864A.

Part 6 — Assets (if income alone insufficient)

Assets can be used to supplement income. Asset value required is typically 3× the difference between your income and the 125% threshold. Liquid assets most useful; property equity harder to document.

Cash and bank accounts

Stocks and bonds

Property equity

Other assets

Total assets: $0

Part 7 — Checklist Before Filing

I-864 printed and wet signed by hand

IRS Tax Transcript obtained for every sponsor and joint sponsor on the case (not a copy of return)

Transcript uploaded to CEAC before the interview date, even if DQ was granted on a 1040 copy — London has issued 221(g) for a missing transcript despite DQ

W-2s / 1099s included

Employment letter and recent pay stubs included

Proof of US status (passport or green card)

If joint sponsor: their I-864 wet signed and documents assembled

If sponsor or joint sponsor is self-employed: Schedule C/E/F and all tax return schedules included

If self-employed: 12 months business bank statements included

If self-employed: business registration/EIN documentation included

If self-employed: signed business description statement included

If self-employed: professional/trade license included (if applicable)